Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 2878661 | NY |
NPI | 1275822900 |
---|---|
Provider Name | Dr. Avy Ronay |
First Address | Manhasset, NY 11030-3816 |
Second Address | New Hyde Park, NY 11042-1098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 22/08/2019 |